When to see a GP, and when to get help
This is general information, not a diagnosis. A&E means accident and emergency; in the US, call 911 for 999, and use your doctor's urgent line or urgent care for NHS 111.
Call 999
For chest pain that comes on suddenly and doesn't go away, or spreads to your arms, neck, jaw, stomach or back, or comes with sweating, feeling sick, light-headedness or breathlessness; or for back pain with numbness around your genitals or bottom, or new bladder or bowel problems.
Sources 68, 69
Chest pain or fainting while exercising: call 999
Call 999 if:
- You get sudden pain or discomfort in your chest that doesn't go away; it can feel like squeezing or pressure, burning or indigestion.
- The pain spreads to your left or right arm, or your neck, jaw, stomach or back.
- You have chest pain and feel sweaty, sick, light-headed or short of breath.
- Someone faints while exercising, can't be woken within 1 minute, or has chest pain or a pounding, fluttering or irregular heartbeat.
Sources 68, 70, 71
Unusual breathlessness
Call 999 or go to A&E (accident and emergency) straight away for severe difficulty breathing (gasping, choking or not able to get words out), a chest that feels tight or heavy, pain that spreads to your arms, back, neck and jaw, lips or skin turning very pale, blue or grey, or sudden confusion. If you're more short of breath than usual, or your heart is racing, fluttering or skipping beats, contact NHS 111.
Source 72
Dizzy when you get up
Sit or lie down until it passes, and get up slowly next time, from lying to sitting to standing. See a GP if you keep getting dizzy or fainting.
Source 19
See a GP about stiffness
Morning stiffness in your joints that lasts longer than about 30 minutes, back pain that eases with exercise but not with rest and wakes you at night, or stiffness in your shoulders, neck or hips that lasts more than 45 minutes each morning (the NHS's descriptions of rheumatoid arthritis, ankylosing spondylitis and polymyalgia rheumatica). The NHS says see a GP if you have pain and stiffness like polymyalgia rheumatica for more than a week.
Sources 52, 53, 54
Headache or sight problems with morning stiffness
With stiffness like polymyalgia rheumatica, the NHS says to contact a GP immediately or NHS 111 for a new or frequent headache, a sore scalp, or problems with your sight such as double vision or loss of vision.
Source 54
Diabetes
Low blood sugar can make you feel hungry, dizzy, shaky, sweaty or confused. If you have diabetes and these signs, treat it straight away with something sugary, as our best time to work out guide sets out.
Pregnancy
The NHS says not to exercise on an empty stomach, and to stop if you feel uncomfortable, too hot or unwell. Our pregnancy guide lists the signs to stop and call your midwife or maternity unit.
Source 22
Sleep
See a GP if changing your sleep habits hasn't helped, you've had trouble sleeping for months, or it's affecting your daily life.
Source 49
Falls
The NHS's advice:
- Call 999 if you or someone else has fallen and may have injured the head, back, neck or hip, or cannot get up.
- Get help from NHS 111 if you or someone else has fallen and may be in pain, injured or unwell.
- See a GP if you're worried about your balance or mobility, or you've had a fall. You may be able to refer yourself to a falls service, which can include strength and balance training.
Source 73
Stop the session if
You feel any pain or become unwell, as the NHS advises for its Pilates videos, and especially for chest pain or pressure, unusual breathlessness, dizziness or fainting. If you have a health problem, an injury or any symptoms, get advice from a healthcare professional, such as a GP, before you start.
Source 74
Before you start
The NHS advises getting advice from a healthcare professional first if you have a health problem, an injury or symptoms, or have recently had a heart attack or an operation.
Source 74